A near-complete human pancreatic cancer genome

Abstract

Genomic changes are central to cancer, so sequencing is essential for understanding tumor evolution and advancing precision medicine, but resolving somatic variants and methylation is challenging in regions with repeats, reference gaps, and germline variants. To identify the full spectrum of somatic variants, including complex rearrangements, we construct and curate near-complete, haplotype-resolved assemblies of the most recent common ancestor of an early-passage, broadly-consented hypodiploid pancreatic cancer cell line and matched normal tissues. The tumor assembly recapitulates all 35 chromosomes observed by karyotyping, including translocation-induced hybrid chromosomes containing dynamic dicentric and fused centromeres, nested foldback inversions causing 14 breakpoints with a haplotype switch in a single derivative chromosome, and centromeric satellite tandem duplications up to 136 kbp. Our tumor-normal assembly-based benchmark expands previous multi-technology ensemble benchmark approaches, adding >8,000 somatic small variants altering ~40 kbp and 149 somatic SVs altering 939 kbp, including 2,764 small variants and 126 SVs not represented on GRCh38. Additionally, 5,111 somatic small variants change representation because they alter germline variants on GRCh38, impacting mutational signatures. Most source-resolved somatic LINE insertions originate from two non-reference germline LINE insertions with accessible promoter elements. These assemblies demonstrate that centromeric, acrocentric, telomeric, and other polymorphic regions, conventionally excluded from analysis, harbor extensive somatic and epigenetic changes and provide curated paired tumor-normal benchmarks to advance algorithms for repetitive regions of cancer genomes.